Food availability and food habits among Ghanaians: Tracking the dietary transition in Ghana

Abstract

Background: Although extreme hunger has reduced significantly, people are eating nutrient-poor cheap foods that are unhealthy and environmentally unsustainable. Even though dietary practices are changing in Ghana, there is minimal national-level analysis of the changes and their implication for population health. Aim: This study describes shifts in food availability and consumption in Ghana from 1983–2013. Methods: Data from the Food and Agriculture Organisation (FAO) food balance sheets and a scoping review were used. Descriptive analysis was conducted in excel for the FAO data, and Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews recommendation was followed for the scoping review. Results: The availability of total calories increased from 1527 kcal in 1983 to 3016 kcal in 2013, representing 608 kcal above the daily recommended allowance for women. Sugar and sweeteners was the food group with the highest increase of 1075%. Vegetables contributed the least to food availability, with less than 40 kcal a day. Rice contributed the most to food availability among cereals (56 kcal in 1983 to 304 kcal in 2013), replacing maise as the primary cereal. Conclusion: After the 1983 famine, there were significant increases in food availability in Ghana. The provision of rice, sugars and tubers meant to end hunger, changed dietary patterns and has resulted in low dietary diversity, high energy intake and overweight/obesity. Therefore, there is a need to intervene and increase the availability of other food groups.

Keywords

Food availability Food consumption Food environment Eating behaviours Nutrition transition Ghana

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References

Ackah

Adjasi

Turkson

(2014a) Scoping study on the evolution of industry in Ghana. Learning to compete: Working Paper No. 18. Accra: Ghana. Available at: https://www.brookings.edu/wp-content/uploads/2016/07/L2C_WP18_Ackah-Adjasi-and-Turkson-1.pdf. Accessed on July 21, 2019

Ackah

Agboyib

Adu-Gyamfi

(2014b) An investigation of yam ingestion customs in Ghanaian urban communities, Ghana. International Journal of Sciences 17: 374–411. Available at: file:///C:/Users/mibotag3/Downloads/3084-7413-1-PB.pdf.

Afrifa-Anane

Agyemang

Codjoe

SNA

, et al. (2015) The association of physical activity, body mass index and the blood pressure levels among urban poor youth in Accra, Ghana. BMC Public Health 15(1): 1-9

Agyei-Mensah

de-Graft Aikins

(2010) Epidemiological transition and the double burden of disease in Accra, Ghana. Journal of Urban Health: Bulletin of the New York Academy of Medicine 87(5): 879–897.

Agyemang

Boatemaa

Agyemang

, et al. (2015) Obesity in Sub-Saharan Africa. In: Ahima

(ed) Metabolic Syndrome. Cham: Springer International Publishing, 41–53.

Aidoo

Nurah

Fialor

(2009) Determinants of dairy consumption expenditure. Journal of Science and Technology 29(1): 87–96.

Akpene

(2017) Food preferences of customers of food service establihment in Ho in the Volta Region of Ghana . University of Cape Coast. Available at: https://erl.ucc.edu.gh/jspui/bitstream/123456789/3158/1/GIFTY AKPENE NTI.pdf.

Al-hassan

Adaku

(2014) Hedonic price analysis of dressed chicken in Ghana. International Journal of Business and Social Science 5(12): 215–223.

Amo-Adjei

Kumi-Kyereme

(2015) Fruit and vegetable consumption by ecological zone and socio-economic status in Ghana. Journal of Biosocial Science 47(5): 613–631.

10.

Angelucci

(2013) Analysis of incentives and disincentives for sorghum in Ghana . Technical note series. Rome. Available at: http://www.fao.org/3/a-at548e.pdf.

11.

Arksey

O'Malley

(2005) Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology 8(1): 19–32.

12.

Ashitey

(2017) 2017 Ghana poultry report annual. Accra. Available at: https://gain.fas.usda.gov/Recent GAIN Publications/2017 Ghana Poultry Report Annual_Accra_Ghana _5-23-2017.pdf.

13.

Asuming-Brempong

Gyasi

Marfo

, et al. (2011) The exposure and adoption of new rice for Africa (NERICAs) among Ghanaian rice farmers: What is the evidence? African Journal of Agricultural and Research 6(27): 5911–5917. Available at: http://www.academicjournals.org/app/webroot/article/article1380807130_Asuming-Brempong et al.pdf.

14.

Banson

Muthusamy

Kondo

(2015) The import substituted poultry industry; evidence from Ghana. International Journal of Agriculture and Forestry 5(2): 166–175.

15.

Boatemaa

Badasu

de-Graft Aikins

(2018) Food beliefs and practices in urban poor communities in Accra: Implications for health interventions. BMC Public Health 18(1): 1–12.

16.

Buxton

CNA

(2014) Ghanaian Junior high school adolescents dietary practices and food preferences: Implications for public health concern. Journal of Nutrition and Food Science 4: 297. DOI: 10.4172/2155-9600.1000297

17.

Campbell

Beare

Bennett

, et al. (2017) Agriculture production as a major driver of the earth system exceeding planetary boundaries. Ecology and Society 22(4):8. https://doi.org/10.5751/ES-09595-220408

18.

Christian

Marquis

Colecraft

, et al. (2019) Household food insecurity but not dietary diversity is associated with children's mean micronutrient density adequacy in rural communities across Ghana. Nutrition (Burbank, Los Angeles County, Calif.) 65: 97–102.

19.

Dake

FAA

Thompson

, et al. (2016) The local food environment and body mass index among the urban poor in Accra, Ghana. Journal of Urban Health 93(3): 438–455.

20.

de-Graft Aikins

(2014) Food beliefs and practices during pregnancy in Ghana: Implications for maternal health interventions. Health Care for Women International 35(7–9): 954–972.

21.

de-Graft Aikins

Kushitor

Koram

, et al. (2014) Chronic non-communicable diseases and the challenge of universal health coverage: Insights from community-based cardiovascular disease research in urban poor communities in Accra, Ghana. BMC Public Health 14(Suppl 2): S3.

22.

Dei

GJS

(1988) Coping with the effects of the 1992-83 drought in Ghana: The view from the village. Africa Devolopment 13(1): 107–122. Available at: https://www.jstor.org/stable/pdf/24486648.pdf?refreqid=excelsior%3A9b041ce1b048b5a3eb1346ad010d2cc7.

23.

Editorial Staff (2013) 1983 a year Ghana would prefer to forget. AfricanGlobe. Available at: https://www.africanglobe.net/featured/1983-year-ghana-prefer-forget/.

24.

Food and Agriculture Organisation (2012) West African Food Composition Table, 2012. Rome: Food and Agriculture Orgainisation.

25.

Friel

Schram

Townsend

(2020) The nexus between international trade, food systems, malnutrition and climate change. Nature Food 1: 51–58. Available at: https://www.nature.com/articles/s43016-019-0014-0.

26.

Gil

Riedsma

Giller

, et al. (2019) Sustainable development goal 2: Improved targets and indicators for agriculture and food security. Ambio 48(7): 685–698. Available at: https://link.springer.com/article/10.1007/s13280-018-1101-4.

27.

GNA (2018) Ghana imports 135,000 tons of chicken from Europe in 201. General News, 23 March. Accra. Available at: https://www.ghanabusinessnews.com/2018/03/23/ghana-imports-135000-tons-of-chicken-from-europe-in-2017/.

28.

GNA (2019) Eat Ghana rice: President Akufo-Addo appeals. Economics, 13 December. Accra. Available at: https://ghananewsagency.org/economics/eat-ghana-rice-president-akufo-addo-appeals--161219.

29.

Godfray

Beddington

Crute

, et al. (2010) Food security: The challenge of feeding 9 billion people. Science (New York, N.Y.) 12(327): 5967.

30.

Gordon

Bignet

Crona

, et al. (2017) Rewiring food systems to enhance human health and biosphere stewardship. Envrionmental Research Letter 12: 1–12. Available at: https://iopscience.iop.org/article/10.1088/1748-9326/aa81dc/pdf.

31.

Graham

Klomegah

(2019) Dietary transitions in Ghanaian cities: preliminary findings. Available at: https://westafrica.transformnutrition.org/news/dietary-transitions-in-ghanaian-cities-preliminary-findings/ (accessed 10 January 2020).

32.

Hiamey

Amuquandoh

Boison

(2015) Are we indeed what we eat? Street food consumption in the market circle area of takoradi, Ghana. Nutrition and Health 22(3–4): 215–235.

33.

International Food Policy Research Institute (2016) Global Nutrition Report: From Promise to Impact: Ending Malnutrition by 2030. Washington, D.C.

34.

Johnson

Payne

McNeese

, et al. (2012) Menu-labeling policy in King County, Washington. American Journal of Preventive Medicine 43(3 Suppl. 2): S130–S135. DOI: 10.1016/j.amepre.2012.05.014.

35.

Jones

Colecraft

Awuah

, et al. (2018) Livestock ownership is associated with higher odds of anaemia among preschool - aged children, but not women of reproductive age in Ghana. Maternal and Child Nutrition 14(3): e12604.

36.

Kushitor

Boatemaa

(2018) The double burden of disease and the challenge of health access: Evidence from access, bottlenecks. Cost and Equity facility survey in Ghana 13(3): e0194677.

37.

Kushitor

Owusu

Kushitor

(2020) The prevalence and correlates of the double burden of malnutrition among women in Ghana. PLoS ONE 15(12): 1–12.

38.

Laar

Tandoh

Barnes

, et al. (2019) Benchmarking Ghana's policies for creating healthy food environemnts: Comapred to international examples and in relation to stage of local policy action. Available at: https://www.researchgate.net/profile/Stefanie_Vandevijvere/publication/332513828_Benchmarking_Ghana’s_policies_for_creating_healthy_food_environments/links/5cb8ca2da6fdcc1d499eed82/Benchmarking-Ghanas-policies-for-creating-healthy-food-environments.pdf.

39.

Lartey

Magnussen

, et al. (2019) Rapidly increasing prevalence of overweight and obesity in older Ghanaian adults from 2007-2015: Evidence from WHO-SAGE waves 1 & 2. PLoS ONE 14(8): e0215045.

40.

Mensah

Yeboah-Manu

Owusu-Darko

, et al. (2002) Street foods in Accra, Ghana: How safe are they? Bulletin of the World Health Organization 80(7): 546–554.

41.

Ministry of Health (2007) Creating wealth through health. Ministry of Health: Accra. https://www.moh.gov.gh/wp-content/uploads/2016/02/NATIONAL-HEALTH-POLICY.pdf.

42.

Ministry of Health (2010) Dietary and physical activity guidelines for Ghana. Ministry of Health: Accra. https://pdf4pro.com/download/dietary-and-physical-activity-guidelines-for-ghana-44e130.html.

43.

Ministry of Trade and Industry (2019) The Ghana sugar policy: intent and development policy. Ghana. Available at: http://moti.gov.gh/docs/The Ghana Sugar Policy.pdf.

44.

Moher

Shamseer

Clarke

, et al. (2015) Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Systematic Reviews 4(1): 1.

45.

Munn

Peters

MDJ

Stern

, et al. (2018) Systematic review or scoping reviewGuidance for authors when choosing between a systematic or scoping review approach. BMC Medical Research Methodology: 1–7.

46.

Nkegbe

Assuming-Bediako

Aikins-Wilson

, et al. (2013) Meat consumption trends in some selected households in Accra Ghana meat consumption trends in some selected households in Accra Ghana. Asian Journal of Agriculture and food Sciences 01(04): 151–157.

47.

Odutayo

(2015) Conditional development: Ghana crippled by Structural Adjustment Programs. University of Leister. Available at: https://www.e-ir.info/2015/03/01/conditional-development-ghana-crippled-by-structural-adjustment-programmes/.

48.

Omari

Jongerden

Essengbey

, et al. (2013) Fast food in the Greater Accra region of Ghana: Characteristics, availability and the cuisine concept. Food Studies an Interdisciplinary Journal 1(4): 29-44.

49.

Osseo-Asare

(2002) We Eat first With Our eyes. Gatronomica: The Journal of Food and Culture 2(1): 49–57.

50.

Owusu

Yankson

(2017) Urbanisation in Ghana: Retrospect and prospects. In: Aryeetey

Kanbur

(eds) The Economy of Ghana Sixty Years After Independence. Accra: Oxford Univeristy Press, 207–222.

51.

Paasch

Garbers

Hirsch

(2007) Trade policies and hunger: The impact of trade liberalisation on the right to food of rice farming communities in Ghana, Honduras and Indonesia. Geneva. Available at: https://www.humanrights.ch/cms/upload/pdf/100607_07_HRIA_Indonesien_Ghana.pdf.

52.

Poku

Birner

Gupta

(2018) Why do maise farmers in Ghana have a limited choice of improved seed varietiesAn assessment of the governance challenges in seed supply. Food Security 10: 27–46.

53.

Ragasa

Chapoto

Kolavalli

(2014) Maize productivity in Ghana. Policy Notes # 5. IFPRI: Washiston. http://ebrary.ifpri.org/utils/getfile/collection/p15738coll2/id/128263/filename/128474.pdf.

54.

Rheinländer

Olsen

Bakang

, et al. (2008) Keeping up appearances: Perceptions of street food safety in urban kumasi, Ghana. Journal of urban health: bulletin of the New York Academy of Medicine 85(6): 952–964.

55.

Sanuade

Anarfi

de-Graft Aikins

, et al. (2014) Patterns of cardiovascular disease mortality in Ghana: A 5-year review of autopsy cases at Korle-Bu Teaching Hospital. Ethnicity and Disease 24.

56.

Sanuade

Boatemaa

Kushitor

(2018) Hypertension prevalence, awareness, treatment and control in Ghanaian population: Evidence from the Ghana demographic and health survey. PLoS ONE 13(11): 1–18.

57.

The Lens (2005) Rice, poultry farmers cry foul. GhanaWeb, 22 March. Accra. Available at: https://www.ghanaweb.com/GhanaHomePage/NewsArchive/Rice-Poultry-Farmers-Cry-Foul-77814 (accessed 16 January 2020).

58.

Tricco

Lillie

Zarin

, et al. (2018) PRISMA Extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of International Medicine 169(7): 467–473.

59.

UNCTAD (2017) State of commodity dependence 2016 . New York and Geneva. Available at: https://unctad.org/en/PublicationsLibrary/suc2017d2.pdf

60.

USAID (2019) Increasing nutrients in traditional diets with orange-fleshed sweet potatoes in Ghana.

61.

Von Grebmer

Bernstein

Hossain

, et al. (2017) 2017 Global Hunger Index: The Inequalities of Hunger. IFPRI, Welthungerhilfe and Concern Worldwide: Washington, D.C. https://www.ifpri.org/publication/2017-global-hunger-index-inequalities-hunger

62.

Vuvor

Harrison

(2017) Knowledge, practice and perception of taking soft drinks with food and the metabolic effects on high school students in Ghana. Endocrinological Metabolism 1(1): 103. Available at: http://www.imedpub.com/articles/knowledge-practice-and-perception-of-taking-soft-drinks-with-food-and-themetabolic-effects-on-high-school-students-in-ghana.php?aid=20268.

63.

Weible

Pelikan

(2016) Imported chicken meat in Ghana: A threat for domestic producers and a blessing for consumers? In: Washington, D.C., 2016. Available at: https://www.gtap.agecon.purdue.edu/resources/download/7997.pdf.

64.

Willett

Rockstrom

Springmann

, et al. (2019) Food in the anthropocene: The EAT-lancet commission on healthy diets from sustainable food systems. Lancet (London, England) 2(393): 447–492.